10,187 Chain-Owned Nursing Homes in the United States
10,187 of the 14,697 Medicare-certified nursing homes in the United States (69%) are chain-owned, and all are listed below. 1307 of the 10167 graded homes earn an A and 743 earn a D or F. They average 3.7 nursing hours per resident per day, 0.16 hours below the 3.86 for every home in the United States. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).
How chain-owned homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
The ownership is a for-profit limited liability company, and its 165 beds are staffed at 3.36 nurse hours per resident day, roughly 13 percent under the national average, with weekends dropping about 18 percent below its own weekday coverage. That thinner weekend schedule matters because the inspection record shows 14 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus $20,050 in fines. The quality measure score is strong and turnover sits well below the national rate, so there are real strengths here, but the recent October 2024 inspection and the harm-level findings are what a family should ask about directly before deciding.
Grandview Post Acute runs 120 certified beds in Cookeville under corporate ownership, and its staffing numbers are genuinely above average, 4.42 nurse hours per resident day against a national 3.86. That's worth something. But turnover sits at 54.4% versus 45.8% nationally, and weekend coverage drops about 8% below its own weekday level, so the people providing that care keep changing.
The inspection record is where things get harder to explain away: 37 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. CMS rated health inspections and quality measures both 1 out of 5, staffing 2 out of 5. Above-average hours don't offset that pattern on their own.
Waynesboro Post Acute & Rehabilitation runs 109 certified beds as a nonprofit corporation, and its staffing sits at 3.53 nurse hours per resident day, about 9% under the national average of 3.86. Weekends dip roughly 13% below its own weekday coverage, so the hours aren't evenly spread. The inspection record is where the real weight is: 15 deficiencies, 7 of them serious enough to involve harm or jeopardy, 3 tied to abuse, and the last full inspection was back in January 2022. One fine of $8,788 is on file. Turnover at 26.1% is genuinely better than the 45.8% national figure, which matters for continuity of care.
Tennessee State Veterans Home in Cleveland runs five hours of nursing care per resident per day, about 30% above the national average, and its last inspection in January 2026 came back clean enough to earn a top federal rating. The tradeoff is consistency: weekend staffing drops roughly 14% below weekday levels, and 56.1% of staff turned over in a year, well above the 45.8% national figure, that churn matters more in a home where five deficiencies sit on record, including one tied to harm or jeopardy and one abuse-related. As a state-run facility, it answers to public oversight rather than a private operator. Strong numbers overall, but ask how weekends and new hires are actually handled.
Avir At Beaumont runs 214 certified beds under hospital district ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays, so coverage gaps tend to land when families visit most. Staff turnover of 49.5 percent tops the national rate, which means the people caring for residents are often new to the job.
The current inspection record carries 41 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $39,563 in fines across three penalties. The most recent inspection was June 20, 2025.
Legacy Nursing and Rehabilitation runs about 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends dip about 15% below what the home staffs on weekdays. That thin coverage shows up in the federal staffing rating, which sits at the lowest mark, while annual turnover of 46.8% means close to half the nursing staff leaves each year, a bit above the national rate. Inspectors cited 38 deficiencies on the current record, including one at the harm level and one abuse-related, with a single fine of $12,375. The most recent inspection was in May 2025. Brazos County families comparing options should weigh that record against the home's mid-range quality scores.
Windsor Nursing and Rehabilitation Center of Morga runs 176 certified beds under nonprofit ownership, and the staffing numbers are the first thing to notice. At 2.91 nurse hours per resident per day, it sits about 25% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 45.5%, essentially the national rate, so that's not the outlier here. The inspection record is heavier: 26 deficiencies, 7 at harm or jeopardy level, 5 tied to abuse, and three fines totaling $32,353. The most recent inspection was July 8, 2025. Quality measures score well; staffing and inspections are where the concerns sit.
Park View Care Center runs 179 certified beds in Fort Worth under corporate for-profit ownership, and its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, though weekends drop roughly 10 percent below its own weekday coverage. That's the strongest part of the picture. The inspection record is where it gets harder to explain away: 62 deficiencies on file, including six at the harm or jeopardy level and seven tied to abuse, with six fines totaling $299,019. Annual staff turnover runs 51.9 percent against a national average of 45.8 percent, so the people providing care keep changing. The most recent inspection was February 2026, recent enough that this record reflects current conditions, not an old one.
Denton Village by Purehealth runs 88 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.55 hours per resident day, about 8% under the national average of 3.86. Weekend coverage drops roughly 11% below its own weekday level, so the thinnest shifts are the ones families tend to visit. The inspection record is the harder read: 26 deficiencies, including one at the harm level and one abuse-related, plus a $55,112 fine, with the most recent inspection in September 2025. Staff turnover at 41.3% is slightly better than the 45.8% national figure, and the 5/5 quality measure rating stands out against a 2/5 inspection score. The gap between those two numbers is worth asking about directly.
Colonial Manor runs about 3.78 nursing hours per resident per day, a bit under the national average, and weekends drop roughly 11% below its own weekday staffing. That thinner weekend coverage matters more when turnover sits at 52.8%, well above the 45.8% national figure, because a changing roster makes it harder to know who's on the floor. The record shows 26 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $51,594 in fines and a February 2025 inspection. The quality measure stars look strong, but the inspection and staffing numbers tell a different story.
Skyline Nursing Center is a 204-bed hospital-district home in Dallas, and the numbers behind its federal record are hard to read kindly. Nurse staffing runs about 3.05 hours per resident day, roughly a fifth below the national average, and it drops another 10% on weekends, when families often visit and coverage matters most. Annual turnover sits at 50%. The inspection history is heavier still: 39 deficiencies on the current record, including 5 at the level where residents were actually harmed or put in jeopardy, plus 6 tied to abuse. One fine of $96,817 has been levied, and the most recent inspection was April 2026.
Advanced Health & Rehab Center of Garland runs on 2.97 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 41 deficiencies, four serious enough to cause harm or jeopardy, two tied to abuse, and three fines totaling $237,224. Staff turnover of 43.5% is slightly better than the national 45.8%, and the quality measure score is strong, but the staffing and inspection scores sit at the bottom. It's hospital-district owned and was inspected in April 2025. Ask about weekend nurse coverage and what changed since that inspection.
Patriot Heights runs 3.46 nurse hours per resident day, roughly 11% under the national average, and weekends dip about 15% below what the home itself staffs Monday through Friday. That thin weekend coverage matters more when you look at the record: 25 deficiencies, three at harm or jeopardy level, two tied to abuse, and $28,033 in fines across two penalties. Annual turnover sits at 50%, above the 45.8% national figure, so the people providing care keep changing. The quality measure score looks strong, but that reflects charted clinical outcomes, not whether enough hands are present on a Saturday. The last inspection was September 5, 2025.
Henderson Health & Rehabilitation Center runs 173 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 5% below its own weekday levels, and annual turnover hits 52.5% against a national 45.8%, meaning more than half the nursing staff turns over each year. The inspection record shows 30 deficiencies, four of them serious enough to cause harm or jeopardy, plus one abuse-related finding and a $10,546 fine. The last inspection was May 2025. Quality measures score well, but staffing and inspection results are where the real story sits.
Heritage Park runs 176 certified beds in Roy under for-profit partnership ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.84 hours per resident day, just under the national average, and weekend coverage drops about 12% below its own weekday levels, a gap families often feel on Saturdays and Sundays. Turnover at 46.8% edges past the national rate, meaning caregivers cycle through steadily.
The inspection record is the real concern: 27 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, with a $36,645 fine and a two-star health inspection rating. Quality measures score five stars, but that reflects resident care metrics, not whether the building is safely run day to day.
Spring Creek runs about 3.49 nurse hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. Those two facts matter together, because the hours a resident actually gets are usually the thinnest on Saturdays and Sundays, exactly when families tend to visit and notice.
The staff turnover number is the one I'd sit with: 76.8% annually, well above the 45.8% national figure. High churn means aides and nurses are constantly new to your mother's routine and preferences, and that shows up in the inspection record, 98 deficiencies, 26 of them serious enough to cause harm or put residents in jeopardy, plus six tied to abuse.
Monument Healthcare Brigham City runs 84 certified beds under for-profit LLC ownership, and the inspection record is where families should focus. Twenty deficiencies on the current record, three of them serious enough to cause harm or jeopardy, plus three abuse-related citations and a $15,640 fine, that's a lot of documented trouble for a home this size. Staffing tells a similar story: the federal staffing rating sits at 1 out of 5, meaning nurse hours per resident fall well below what CMS expects. The quality measure score of 5 out of 5 looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. The most recent inspection was April 16, 2024, so this picture is current. Ask hard questions about direct care hours before considering it.
Monument Healthcare Murray Creek runs 184 certified beds in Millcreek under for-profit LLC ownership, and the numbers pull in two directions. Its quality measure rating is perfect, but that same record carries 50 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus two fines totaling $120,948, and the most recent inspection was June 2025. Nurse staffing sits just under the national average at 3.82 hours per resident day, and weekends drop about 12% below the home's own weekday levels. Turnover, at 42.2%, is actually a bit better than the 45.8% national figure. The inspection side is the part worth asking hard questions about.
Sandy Health and Rehab runs 141 certified beds under corporate ownership, and the numbers raise real questions. Nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average, and weekend coverage drops about 14% below what the home staffs on weekdays, which matters most when families visit and emergencies happen. Annual turnover of 69.7% is well above the national 45.8%, so the people caring for your relative are likely to change often. The inspection record is the harder read: 74 deficiencies, 13 at harm or jeopardy level, 5 abuse-related, and three fines totaling $89,798, with the most recent inspection in April 2025. Quality measures score well, but that's a narrow slice of the picture.
Rocky Mountain Care's Cottage On Vine is individually owned for profit, and the numbers show where that leaves residents. Nurse staffing sits at 3.43 hours per resident day, about 11% under the national average, and it thins out further on weekends, roughly 12% below the home's own weekday coverage. Staff turnover is the sharper problem: 70.4% annually, well above the 45.8% national figure, which means caregivers change constantly. The inspection record backs that up, 57 deficiencies, 10 serious enough to reach harm or jeopardy, 9 tied to abuse, and $78,946 in fines across two penalties. Quality scores look strong on paper, but a March 2025 inspection and a 2/5 staffing rating tell the more useful story.
Frequently asked questions
How many chain-owned nursing homes are there in the United States?
There are 10,187 chain-owned Medicare-certified nursing homes in the United States, 69% of the 14,697 nursing homes there.
Are chain-owned nursing homes better staffed?
In the United States they average 3.7 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.16 hours. Staff turnover averages 46.8% against 45.8%.
Which chain-owned nursing home grades best in the United States?